【摘要】 目的　研究不同术式剖宫产对产妇的影响 .方法　组 1(5 0例 )采用皮肤横切口不缝腹膜的新式剖宫产术 ;组 2 (48例 )采用皮肤横切口缝合腹膜的常规剖宫产术 ;组 3(36例 )采用皮肤纵切口的腹膜外剖宫产术 .3组手术分别进行比较 .结果　胎儿娩出时间 :组 1<组 2 <组 3(p <0 .0 5 ) ,手术时间 :组 1<组 2 <组 3,(p<0 .0 5 ) .术中出血量 :组 1<组 2≈组 3,(p <0 .0 5 ) .术后肛门排气时间 :组 1<组 3<组 2 (p<0 .0 5 ) .术后疼痛率组 :1≈组 2 <组 3,(p <0 .0 5 ) .术后病率 :组 3<组 1<组 2 ,(p <0 .0 5 ) .切口感染 :组 3<组 1≈ 2 (p<0 .0 5 ) .术后排尿困难 :组 1<组 2 <组3(p <0 .0 5 ) ,术中膀胱损伤 :组 2 <组 1<组 3(p<0 .0 5 ) .结论　新式剖宫产术具有手术时间短、出血量少、术后肠功能恢复快、疼痛少的特点 ,值得推广 .腹膜外剖宫产术能明显降低术后病率及切口感染率 ,是剖宫产术的必要补充 .更多还原

【Abstract】 Objective To study the effection of different operational methods of caesarean section on maternity. Methods Group I (50 cases):hypogastrium horizontal incision non-closure peritoneum,the misgav-ladach-method caesarean section.Group II (48 cases):hypogastrium horizontal incision closure peritoneum,the conventional caesarean section. Group III (36 cases): hypogastrium vertical incision,the extraperitoneal caesarean section.Results A comparative study of the above three groups reveals findings as follows:Time of fetus delivery,Group I <Group II <Group III (p<0.05) ;Operational time, Group I <Group II <Group III (p<0.05) .Bleeding volume of operation, Group I <Group II ≈Group III (p<0.05, p>0.05) .Postoperative anus exsufflation, ,Group I <Group III <Group II(p<0.05). Postoperative pains, Group I≈ Group II <Group III( p>0.05, p<0.05 ). Postoperative morbidity, Group III <Group I <Group II( p<0.05 ).Incisional infection, Group III <Group I ≈Group II( p<0.05 , p>0.05 ). Postoperative dysuria, Group I <Group II <Group III (p<0.05) .Bladder injury, Group II <Group I <Group III( p<0.05 ). Conclusions The misgav-ladach-method caesarean section is featured with shorter operational time, less blood volume shorter operation tione, quicker recovery of gastrointestinal tract functions and less pains on patients. The extraperitoneal caesarean section, as a necessary supplement to caesarean delivery, can obviously reduce postoperative morbidity and incisional infection rate.更多还原